- Joined
- Nov 20, 2005
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- 687
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- 140
So, I have a post v-fib arrest pt in the CCU, has a cool guard catheter in the right groin that was placed by interventionalists in CV lab, and an art line in his left wrist. Last night we were getting ScvO2 in the 75% range off the cool guard and SaO2 in the 98% range off the art line. Well, today I asked for another gas off the cool guard and it came back with sat of 97% and PaO2 of 140. At first I think "I must've not been clear on what I wanted" so I ask the nurse and they swear it was off the cool guard. Ok, no big deal, just ask her to send a second one. This time I watch her and she was right, of course, it was off the cool guard and it returns with the same values.
I'm confused why this would be? Gas of the art line nearly identical to the one off the cool guard... I thought maybe it had somehow migrated into an artery since last night, but when I transduce it I am getting a CVP waveform and pressures of ~15....
Any thoughts?
I'm confused why this would be? Gas of the art line nearly identical to the one off the cool guard... I thought maybe it had somehow migrated into an artery since last night, but when I transduce it I am getting a CVP waveform and pressures of ~15....
Any thoughts?